Balch, Glen C.

Balch, Glen C. is an individual health care provider with primary practice located at 5323 Harry Hines Blvd University Of Texas Southwestern University, Dallas TX 75390-8548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Balch, Glen C. can be contacted via phone (214) 648-5870.

Contact Information

Primary practice address
5323 Harry Hines Blvd University Of Texas Southwestern University Dallas TX 75390-8548
Phone: (214) 648-5870
Fax: (214) 648-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X N4276 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-118605 Illinois

Profile Details

NPI number 1114123163
LBN Legal business name Balch, Glen C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jan 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114123163 NPPES
Illinois Other 036-118605 IL STATE LIC
Illinois Other N4276 IL STATE LIC

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